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Trends in the health status of medicare risk contract enrollees.

Riley G, Zarabozo C - Health Care Financ Rev (2006)

Bottom Line: Previous research has found Medicare risk contract enrollees to be healthier than beneficiaries in fee-for-service (FFS).Most of the differences in trends were observed for functional status measures and institutionalization; differences in trends for perceived health status and prevalence rates of chronic conditions tended to be small or non-existent.The narrowing of functional and health status differences between the risk contract and FFS populations may have implications for payment policy, as well as implications for the role of private health plans in Medicare.

View Article: PubMed Central - PubMed

Affiliation: Centers for Medicare & Medicaid Ser-vices, Baltimore, MD 21244-1850, USA. gerald.riley@cms.hhs.gov

ABSTRACT
Previous research has found Medicare risk contract enrollees to be healthier than beneficiaries in fee-for-service (FFS). Medicare Current Beneficiary Survey (MCBS) data were used to examine trends in health and functional status measures among risk contract and FFS enrollees from 1991 to 2004. Risk contract enrollees reported better health and functioning, but the differences tended to narrow over time. Most of the differences in trends were observed for functional status measures and institutionalization; differences in trends for perceived health status and prevalence rates of chronic conditions tended to be small or non-existent. The narrowing of functional and health status differences between the risk contract and FFS populations may have implications for payment policy, as well as implications for the role of private health plans in Medicare.

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Percent of Non-Institutionalized Medicare Beneficiaries Who Reported Fair or Poor Heath, by Risk Contract and Fee-for-Service (FFS) Sector: 1991-2004
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Related In: Results  -  Collection


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f1-hcfr-28-2-081: Percent of Non-Institutionalized Medicare Beneficiaries Who Reported Fair or Poor Heath, by Risk Contract and Fee-for-Service (FFS) Sector: 1991-2004

Mentions: Non-institutionalized risk contract enrollees were significantly less likely to report fair or poor health than non-institutionalized beneficiaries in FFS (Figure 1 and Table 2). Risk contract enrollees reported lower rates of fair or poor health in each study year, with the difference between the two groups varying between 5.3 and 10.8 percent. The difference narrowed slightly over time; in the regression model the interaction between year and risk contract enrollment was positive and approached statistical significance (p = 0.052).


Trends in the health status of medicare risk contract enrollees.

Riley G, Zarabozo C - Health Care Financ Rev (2006)

Percent of Non-Institutionalized Medicare Beneficiaries Who Reported Fair or Poor Heath, by Risk Contract and Fee-for-Service (FFS) Sector: 1991-2004
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4194981&req=5

f1-hcfr-28-2-081: Percent of Non-Institutionalized Medicare Beneficiaries Who Reported Fair or Poor Heath, by Risk Contract and Fee-for-Service (FFS) Sector: 1991-2004
Mentions: Non-institutionalized risk contract enrollees were significantly less likely to report fair or poor health than non-institutionalized beneficiaries in FFS (Figure 1 and Table 2). Risk contract enrollees reported lower rates of fair or poor health in each study year, with the difference between the two groups varying between 5.3 and 10.8 percent. The difference narrowed slightly over time; in the regression model the interaction between year and risk contract enrollment was positive and approached statistical significance (p = 0.052).

Bottom Line: Previous research has found Medicare risk contract enrollees to be healthier than beneficiaries in fee-for-service (FFS).Most of the differences in trends were observed for functional status measures and institutionalization; differences in trends for perceived health status and prevalence rates of chronic conditions tended to be small or non-existent.The narrowing of functional and health status differences between the risk contract and FFS populations may have implications for payment policy, as well as implications for the role of private health plans in Medicare.

View Article: PubMed Central - PubMed

Affiliation: Centers for Medicare & Medicaid Ser-vices, Baltimore, MD 21244-1850, USA. gerald.riley@cms.hhs.gov

ABSTRACT
Previous research has found Medicare risk contract enrollees to be healthier than beneficiaries in fee-for-service (FFS). Medicare Current Beneficiary Survey (MCBS) data were used to examine trends in health and functional status measures among risk contract and FFS enrollees from 1991 to 2004. Risk contract enrollees reported better health and functioning, but the differences tended to narrow over time. Most of the differences in trends were observed for functional status measures and institutionalization; differences in trends for perceived health status and prevalence rates of chronic conditions tended to be small or non-existent. The narrowing of functional and health status differences between the risk contract and FFS populations may have implications for payment policy, as well as implications for the role of private health plans in Medicare.

Show MeSH